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KELLIE LYN RAE LISW
NPI 1700076817
Social Worker - Clinical in Columbus, OH

Active since July 26, 2007PECOS Enrolled
5743 FOREST ELM LN APT B, COLUMBUS, OH 43229(614) 582-9374 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kellie Lyn Rae Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE LYN RAE LISW (NPI 1700076817) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (7839) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700076817
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLIE LYN RAECredential: LISW
Location Address5743 FOREST ELM LN APT BColumbus, OH 43229-3753
Mailing Address5743 Forest Elm Ln Apt BColumbus, OH 43229-3753 · (614) 582-9374
Phone(614) 582-9374
Sole ProprietorNo
Enumeration DateJuly 26, 2007
Last NPPES UpdateJuly 16, 2013
✔ NPI 1700076817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · 7839
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5743 FOREST ELM LN APT B, Columbus, OH 43229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Lyn Rae Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kellie Rae reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Community Counseling Centers Inc
1.1 mi
Clinic/Center
6037 CLEVELAND AVE
Columbus, OH 43231
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1003085648 (614) 827-1307
Netcare Corporation
9.9 mi
Mental Health (Including Community Mental Health Center)
199 S CENTRAL AVE
Columbujs, OH 43223
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
NPI 1346207503 (614) 274-9500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Rae's NPI number?

The NPI number for Kellie Rae is 1700076817. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Kellie Rae located?

Kellie Rae practices at 5743 Forest Elm Ln Apt B, Columbus, OH 43229. The listed phone number is (614) 582-9374.

What is Kellie Rae's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kellie Rae enrolled in Medicare?

Yes. Kellie Rae is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kellie Rae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Rae reassigns Medicare benefits to 2 organizations: North Community Counseling Centers Inc (Columbus, OH) and Netcare Corporation (Columbujs, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Rae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Rae accept?

Health plans from Molina Healthcare list Kellie Rae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Rae was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.